| Mauricio Moeller, Dds, Ms | |
|
2509 S State St Ann Arbor MI 48104-6145 | |
| (734) 662-7874 | |
| Not Available |
| Full Name | Mauricio Moeller, Dds, Ms |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2509 S State St, Ann Arbor, Michigan |
| Authorized Official Name and Position | Mauricio Sergio Moeller (OWNER) |
| Authorized Official Contact | 7342220023 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mauricio Moeller, Dds, Ms 2509 S State St Ann Arbor MI 48104-6145 Ph: (734) 662-7874 | Mauricio Moeller, Dds, Ms 2509 S State St Ann Arbor MI 48104-6145 Ph: (734) 662-7874 |
| NPI Number | 1568700540 |
|---|---|
| Provider Enumeration Date | 01/24/2013 |
| Last Update Date | 03/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568700540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2901018235 (Michigan) | Primary |
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